Inguinal hernioplasty in children-open or laparoscopic?: A retrospective cohort study of 1,072 cases.

IF 1.5 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2024-12-24 DOI:10.1007/s00383-024-05943-2

Ágnes Eszter Tímár, Dalma Bénes, András Terebessy, Balázs Fadgyas

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引用次数: 0

Abstract

Purpose: The most common surgical intervention in childhood is inguinal hernioplasty. The advantage of laparoscopic approach is still questionable, therefore our aim was to compare open hernia repair (OHR) and PIRS (Percutaneous Internal Ring Suturing) technique at the authors' institute.

Methods: An observational retrospective cohort study was conducted between 2013 and 2021. Patients were included with hernioplasties under 18 years. The number of contralateral patent processus vaginalis, length of hospital stay, complications and recurrences were analysed.

Results: 1,072 surgeries were performed (OHR: 836, PIRS: 236) in 959 patients with the mean age of 4.2 years. During the study period 86 incarcerated hernias were treated: 85/86 following successful reduction with postponed surgery (77 open and eight PIRS) and 1/86 acute (open) surgery. Only six complications (OHR: 5, PIRS: 1, p = 0.86) and 22 recurrences were registered (open:15, PIRS: 7, p = 0.22). The average length of hospital stay was 1.13 days (OHR: 1.3, PIRS: 1.13 days, p = 0.82). PIRS identified contralateral patent processus vaginalis in 22.45% of cases initially diagnosed as unilateral.

Conclusions: Our findings indicate that both techniques are equally safe, with no statistically significant differences observed in terms of hospital stay duration, recurrence rates, or complication rates.

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儿童腹股沟疝成形术-开放还是腹腔镜？一项1072例回顾性队列研究。

目的：儿童最常见的手术干预是腹股沟疝成形术。腹腔镜方法的优势仍然值得怀疑，因此我们的目的是比较开放式疝修补术（OHR）和作者研究所的PIRS（经皮内环缝合）技术。方法：2013 - 2021年进行观察性回顾性队列研究。患者包括18岁以下的疝成形术患者。分析对侧阴道突未闭病例数、住院时间、并发症及复发率。结果：959例患者，平均年龄4.2岁，共进行1072例手术（OHR: 836, PIRS: 236）。在研究期间，86例嵌顿疝治疗：85/86成功复位后延期手术（77例开放和8例PIRS）和1/86急性（开放）手术。并发症6例（OHR: 5, PIRS: 1, p = 0.86），复发22例（open:15, PIRS: 7, p = 0.22）。平均住院时间为1.13天（OHR: 1.3, PIRS: 1.13天，p = 0.82）。在最初诊断为单侧的病例中，有22.45%的PIRS诊断为对侧阴道突未闭。结论：我们的研究结果表明，两种技术同样安全，在住院时间、复发率或并发症发生率方面没有统计学上的显著差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor